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HomeMy WebLinkAboutTR-5695 Albert J.Krupski, S�FF04 President 0�,� 400, Town Hall James King,Vice-President 53095 Route 25 Artie Foster o P.O.Box 1179 Ken Poliwoda H = Southold,New York 11971-0959 Peggy A.Dickerson �,fi �� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 1, 2003 Ms. Vicky Papson 63 Renovah Circle . Stamford, CT 06905 RE: 11120 MAIN ROAD,EAST MARION SCTM#31-13-7 Dear Ms. Papson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday,April 30, 2003: RESOLVED,that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5695 for minor changes to the upper level retaining wall, as depicted on the plan prepared by John Cowen and dated April 30, 2003. This is not a determination from any other agency. If you have any questions,please call our-office at(631) 765-1892. Sincerely, r Albert J. Krupski,Jr. President,Board of Trustees AJK:hns Rpr 22 03 05: 38p p- 2 NOTICE OF COMMENCEMENT OF CONSTRUCTION RETURN THIS FORM TO: COMPLIANCE - 7, Marine Habitat Protection i l NYSDEC Building 40-SUNY OR FAX TO: (631) 444-0297 Stony Brook, NY 11790-2356 PERMIT NUMBER: y�3�-'pa �yb DO a,3, b ISSUED TO: Illa o ,ems a-+' PROJECT LOCATION/ADDRESS: CONTRACTOR NAME: -00 a ADDRESS: rr Yvq TELEPHONE 3 t 1/7 7 Dear Sir: Pursuant to Supplementary Special Condition � nD of the referenced permit, you are hereby notified that the authorized activity shall commence on Apse G Z3'_ Zoe3 We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions. We have inspected the project site and can complete the project as described In the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions. The permit sign, permit and approved plans will be available at the site for inspection in accordance with general Condition No. 1. (Both signatures required) PERMITEE DATE � ~�`^ O CONTRACTOR DATE THIS NOTICE MUST BE SENT THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE ANDIOR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON- COMPLIANCE WITH PERMIT CONDITIONS. Cut along This line pE E APR 2 3 2003 Southold Town Board of Trustees f nalsn 110 p1e09 uMo1 P1041noS toot £ Z Ul rM a 1 1 lZa t -d dBE =So Eo zz 'dd `� t `• ide':'M � ::1V f i%* � �:3 FAQ � ;¢-`P, —el��:Y; �j,•�... NMI ma.�y..�a'• h'�.r�� r-r.__..— �3e y Board Of Southold -Town Trustees r, SOUTHOLD. NEW YORK Januar. 44... 2003�. PERMIT NO .... .....�eta DATE: ............. y.... L z. VICKY PAPSON ISSUED TO ............................................................... � ............................... we Pursuant to the provisions of Chapter 615 of the Laws of. r, the State of New York, 1893, and Chapter 404 of the Laws of the t� 1 F' State of New York 1952 and the Southold Town Ordinance en- 'b titled -"REGULATING AND HE PLACING OF OBSTRUCTIONS n. v.. F T � IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM ` . LANDS UNDER TOWN-WATERS;'-': and in accordance with the ` Resolution of The Board adopted at a meeting held on January 22, -�c'_• b ' 2003 . ............. and 'in consideration of the sum of $.-2Q0•.-0� paid by 5 Costello Marine Contractin.. ...C-ox an...b.elaal£...of•.-Ucl Fa son5� F r�,.... 3 z' Green port .... N. Y. and. subject to they Terms and Conditions listed on the reverse side hereof, _ . . ' y � of Southotd Town Trustees authorizes and permits the following: �• � Wetland Permit to reconstruct rock revetment on west side of existing stairway by breaking up 1 existing concrete footing,lining the area with filter cloth a beach at thatrlocati ne the e Repair the t with .k additional rocks moved from the east side which creates �r r _ � concrete block wane concrete i ler 2 feet tovtl eay awest).with the cond concrete ndition bulkhead tl lttthetb at house remain replace concrete steps to b 1 Wic. e ______._ ...... a�cia��ca specltications as presented In s .the originating application. ; r IN WITNESS WHEREOF, The said Board of Trustees Mere- ; by causes its Corporate Seal to be affixed, and these presents to k be subscribed by 'a'majority of the said Board as of this date. �z tie_FostE: I aaent) ' Trustees \ •l \v.• Y-:t;— .tX df+_'.•. I TERMS and CONDITIONS 1 The Permittee 11120 Main Road, East Marion, N. Y., as residing at part of the consideration for the issuance of the Permit does understand and Prescribe to the fol- lowing: i. That the said Board of Trustees and the Town of Southold are released from nay and an damages, or claims for damages, of suits arising directly or indirectly as it result of nay open- atwa performed pursuant to this permit, and the said Permittee will, at his or her awn expense, defend any and all such suits'initiated by third per, and the said Pecn ittee assumes fall liability with respect thereto, to the complete'exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for period of 24 �, which is considered to be the' rquest estimated time'required too complete the work involved, but'should.circumstances warrant, r for an extension may be made to the Board at a later date. I That this Permit should be retained indefinitely, or as long as the said Permittee wishes to,maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with.the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the.removal and/or alterations . in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the. be required, work shall cause unreasonable obstruction to free navigation, the said hourPer exp tee�to the Town upon due notice, to remove or alter this work or project herein stated without of Southold. 8. That the said Board will be noted by the Permittee of the completion.of the work audi- orized. 9. That the Permittee will obtain all other permits and consents ibat may be required sup' plemental to this permit which may be subject to revoke upon failure to obtain satnc. Albert J.Krupski,Preside Town Hall James King,Vice-Preside:... OSVFFO(�C 53095 Route 25 Artie Foster �� ��j P.O.Box 1179 Southold,New York 11971-0959 Ken Poliwoda CD Peggy A.Dickerson ti Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 27, 2003 Costello Marine Contracting Corp. PO Box 2124 Greenport,NY 11944 RE: SCTM#31-13-7 Vicky Papson 11120 Main Road East Marion,NY Dear Mr. Costello: The Board of Town Trustees took the following action during a Regular Meeting,held on January 22, 2003 regarding the above matter. WHEREAS, Costello Marine Contracting Corp. on behalf of Vicky Papson applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated January 2, 2003. WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 22, 2003 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code. 2 WHEREAS,the Board has determined that the project as proposed will not affect the health, Safety and general welfare of the people of the town. NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approved the application of Vicky Papson for the Wetland Permit to reconstruct rock revetment on west side of existing stairway by breaking up existing concrete footing, lining the area with filter cloth and reconfigure the rock revetment with additional rocks moved from the east side which creates a beach at that location. Repair the concrete block wall, concrete walkway and concrete bulkhead reconstruct boat house and replace concrete steps (to be wider 2 feet to the west). with the condition that the boat house remain the same size BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency,which may also have an application pending for the same or similar project. Fee must be paid, if applicable and permit issued within six months of the date of this notification. If inspections are required, at a fee of$5.00 per inspection(See attached schedule). FEES: $5.00 Very truly yours, r Albert J. Krupski, Jr. President,Board of Trustees AMcjc cc DEC O( Albert J.Krupski,President Q��S�FF Town Hall �Co James King,Vice-President P..O.O.I �� �jy 53 Main Road Box 1179 Henry Smith o Southold,New York 11971 Artie Foster H Ken Poliwoda O Telephone(516)765-1892 9 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Costello Marine Contracting Corp. on behalf of VICKY PAPSON Please be advised that your application, dated January 2, 2003 has been reviewed by this Board, at the regular meeting of and the following action was taken: ( X ) Application Approved (see below) ( ) Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees.. The fee is *computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or. re-application fees will be necessary. COMPUTATION. OF PERMIT FEES: One Inspection @$5.00 each TOTAL FEES DUE: $ 500 SIGNED: PRESIDENT, BOARD OF TRUSTEES BY: C RK, BOARD QF TRUSTEW 4/98 Albert J.Krupski,President Town Hall A�OSufFQ��,COG 53095 Route 25 - James King,Vice-President P.O.Box 1179 Artie Foster =� y� Southold,New York 11971 0959 Ken Poliwoda - Peggy A.Dickerson H Z Telephone(631) 765-1892 • .� Fax(631)765-1366 d'1101 � �a0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD VICKY PAPSON YOU ARE REQUIRED TO CONTACT THE OF THE WORK, TO MAKE ANRUSTEES 72 HOURS PRIOR TO COMMENCEMENT APPOINTMENT FOR APRE-CONSTRU A INSPECTION. REVOCATIONFAILURE O HEO SHALL BE CONSIDERED A VIOLATION ND POSSIBLE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction % constructed x Project complete, compliance inspection. Albert J.Krupski,President Town Hall James King,Vice-President OSVFFOI/C 53095 Route 25 �0�r OG P.O.Box 1179 Artie Foster o~ y Southold,New York 11971-0959 Ken Poliwoda Peggy A.Dickerson y Telephone(631)765-1892 py O�.1C Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION.ERE A VIOLATION AND POSSIBLE REVOCIATION OFT LURE TO DO O SHALL BE CONSIDERED HE PERMIT. (� INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction '/2 constructed Project complete, compliance inspection. I HEREBY CERTtF.I' —{AT;. DISPOSAL 'SYSTEM BY ME :OR CJN•DER MY Dt;REC;TtON P S D ;l,1PC N s �'� ` .#R FUL ,. AND THOROUGH • STUDY QF GROUNDWAT R E CONC?I TI O.N � SALL "�°U "S.q ;.:�cS � PR:OR'O���D TO THE SUFFOLK, •COUN TY DP:AR T'f1ENT:' OF . H.EAI.THES•:; . y CONSTRUCTION STAN.bARQS .fN, "EF.FE0. >4`.S • t � 3 ' s, r ,a,;"'' may'/ ,°;ate':i fl1 i kl-�/.•� 1 41 S .•' •.. WILLIAM . L. 'JAE.GER Lt: 1, , ' +�, '; o`, f N.Y.S. LICENSE NO AP BY TH,E TOWN F 'SQUTi 3L; r ' PL.l� 1`�11N c,i��:��`� BOARD. r ''D ATE: • v , s � f �r_.. ,. •7 r ks. � CHAIRMAN: ' ' ' ` SECRETARY: a ,r ,'f .• 'ice.. ;: :.•. •f.r I. yl-'��• PRELfMINARl' I,A�Vt. C3lV1StON MAP FOR ° s � r � r EASE !4lAAI' SUFFat_ J d YORK� �.�s: A• fny _ F SURVEYED BY HAWKN+ISG WEBS, JJ1 4ERr ItQE i _ „ G p ERS:,i L 0:: VE)tlRS PORTJK SCALE: DRAWN By,: 15.C.•T.M: NO j. �L( ... }�i'1a'"' s ' ;, rti� �, ,r4 T r:+` �ti • .. J �t w +, ,. a 13�t e�.q3.�• {f, r "Nr,y--' u�` r ? .ro�uy r n °+ *r x �r{. �� •.,. F �+. � i .:rirsfi rrY� 't,.� ,� r' r .,.2,.� y.�Z • .. �! k , t. " �J,, ,� .7 ,/ i ti f. } -"• i YC�'f+'• t4 Lay„ tX, .'; ti ' , ti �yrt .r,a 1 sJ r t'7Y-F '�",a > ; ����; r � Y, "i•�;h, �•�.•t' '_ii� �6 ''y . ::d'<:,• rS•g f ... _ .,yf y _` y 4 M•-=, .. {....<-i. ..{•;� •�i .;,Y.',zC� 1 i. '6 �. 20 b � " � 1 20 1 N/F • , R. UNGERLEIDER om, eiq \ i OLM PAPSONS WATER SERM N �} DOW O 0. :d~ 13 10 • ,4 ,—m rpt DWELL N� 1a .r S. CUCK 10 i[ Y Town Hall, 53095 Main Road cats '= P.O. Box 1179 Telephone O Southold, New York 11971 (631) 765-1892 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 15, 2003, the following recommendation was made: VICKY PAPSON to reconstruct rock revetment on west side of existing stairway by breaking up existing concrete footing lining area with filter cloth and reconfiguring the rock placement with additional rocks moved from the east side. Repair concrete block wall, concrete walkway and concrete bulkhead. Reconstruct boathouse and replace concrete steps. Located: 11120 Main Rd, East Marion. SCTM#31-13-7 The_CAC did,not make an inspection, therefore no recommendation was made. Field Inspection 1/20/03 /eu S f s:F f+ae zt 1 l Field Inspection 1/20/03 3 r n PaPS°n Beach Area St a, 4 �" :3 .t � •,fir 4 `• West :Wr -. , New Revetment -Break-up. .. y; & Reinforced ._. -�• Footing x. Add Filter y Cloth Then Reconfigured Rock ' 6 f; ►,; . Revetment Vicky Papson 11120 Main Rd. East Marion 5.18.02 Relocate Rocks To { , " Reinforce Concrete/ ►, ' Bulkhead E r .t +r' Vicky Papson 11120 Main Rd. East Marion 5.18.02 T .. • Ri. 3 `tip t 1 40 Vicky Papson 11120 Main Rd. East Marion 5.18.02 - _ l Reinforc Footing "epair Walkway Vicky P. • • 11120 Main Rd. MarionEast 5.18.02 141 AHW }� `- ; _ 12' OFF 4 IL .., h 3 •�'sl rr� - ALW / 45' EAST ALW/ 34' WEST AHW 12' ALW f-E 4-Repair / Conc. Wall 1 Vicky Papson 11120 Main Rd. East Marion 5.18.02 • - Repair Concrete Vicky �. "y-y'�.• '1. 'JVj�F Asa..,,,, - � - j%i?"r+ "?•- tom:lc, w _ c - _ � . • • 1Main • East • 1 1 j v� I) - Remove Mortared Rocks Reuse Core RIEP A a i a - Reco struct Repair Beach Area Repair Vicky Papson East Marion, NY 8.9.02 � I Albert J.Krupski,Presidenm $uFFo(� Town Hall James King,Vice-President 53095 Main Road 'A P.O.Box 1179 Henry Smith o -'� Southold,New York 11971 Artie Foster y 2 Ken Poliwoda Oy Telephone(516) 765-1892 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Costello Marine Contracting Corp. on behalf of VICKY PAPSON Please be advised that your application, dated January 2, 2003 has been reviewed by this Board, at the regular meeting of and the following action was taken: ( X ) Application Approved (see below) D E C E 0 U E ( ) Application Denied (see below) FEB - 6 ( ) Application Tabled (see below) Southold Town If your application is approved as noted ab a te now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or. re-application fees will be necessary. COMPUTATION. OF PERMIT FEES: One Inspection @$5.00 each TOTAL FEES DUE: $ a SIGNED: PRESIDENT, BOARD OF TRUSTEES r BY: C RK, BOARD RUSTE 4/98 S,uFFoTown Hall Albert J. Krupski, President O�O C�COG 530 5 Route 25 James King,Vice-President =.Z. y� Henry Smith o P.O.Box 1179 Artie Foster vs Southold, New York 11971-0959 Z Ken Poliwoda Telephone(631) 765-1592 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application Wetland Permit Application Major Minor Waiver/Amendmen Ch nggs, _Received Applicati n: / _-- —Received Fee:$ —Completed Application - -Incomplete _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ' ` '` CAC Referral Sent: 0 " _Date of Inspection: D _Receipt of CAC Report. _Lead Agency Determination: Technical Review: _Public Hearing Held: / Resolution: Name of Applicant VAV' P Address 62J -Reno C,WAP kolu Cloq $ Phone Number:( Count Tax Ma Number: 1000 - 3 J r Suffolk C y p � Property Location: mam Qon,4 Maf to v,\ KY 119S9. (provide LILCO Pole#, distance to cross streets, and location) C AGENT: 0_1)�4db (If applicable) Address: �O �� ��n 1-1fePwu 1 Phone:-631 41-1--I M r Board of Trustees ApplicatiW&L GENERAL DATA Land Area(in square feet): Area.Zoning: %Yla 2 �ffitw f,n�P, Previous use of property: C, Art Intended use of property: ")dme , Prior permits/approvals for site improvements: Agency Date W 6aNVJW No prior permits/approvals for site improvements.. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: c Project Description (use attachments if necessary"): . s �r r AGENT: Costello Marine Contracting Corp. P. O. Box 2124 Greenport, NY 11944 (631) 477-1199 APPLICANT: Vicky Papson LOCATION: 11120 Main Road East Marion, NY 11939 PROPOSAL: Reconstruct rock revetment on west side of existing stairway by breaking up existing concrete footing, lining the area with filter cloth and reconfigure the rock revetment with additional rocks moved from the east side which creates a beach at that location. Repair the concrete block wall, concrete walkway and concrete bulkhead. Reconstruct boathouse and replace concrete steps (to be wider 2'to the west). e Board of Trustees Applicatiw,a WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: VC0nt) LkC-f tX1fA nQ York ►�ede�wnPn�- Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): No reaiVe, eec�s Wi l I be �otn� -In the P v�yiyot�wlu�l�- � Board of Trustees Applicati'- -'; County of Suffolk State of New York VOJ�A&&klb Wa)5\A BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF ,20 ?e 1/1 Notary Public REBECCA A.VI9_ARDI NOTARY PUBLIC,STATE OF NEW YORK QUALIFIED IN SUFFOLK COUNTY NO:01 W06039106 COMMISSION EXPIRES MARCH 27,,--gzk& Albert J.Krupski, President Town Hall�QS �C James King,Vice-President V ��� ol/,y 53095 Route 25 Henry Smith c P.O.Box 1179 ti Z Southold,New York 11971-0959 Artie Foster � Ken Poliwoda O `F Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD JAN 2 Z BOARD OF TRUSTEES : TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application -_ V of G _�� - ------------------- COUNTY_�F SU FOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING / I,11 p 1 pS f� �� , residing at �Ilo {1e-_'ke- bein4 duly sworn, depose and say: That on the 1'5 day of JO vA . , 20 I personally posted the property known as 111 Z.O MOMA Ed , E WDM, 0 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Dated: jhaZtur�) Sworn to be re me this CS clay of 2003 otary Pub Veronica F. Cidone Notary Public, State of New York No: 52-4661406 Qualified in Suffolk County Commission Expires Dec.31, : noQ NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: �cs�p�c5�1 SCTM#1000- 31 - YOU ARE HEREBY' GIVEN NOTICE: 1 . That it is the intention of the undersigned to request a Permit fro the Board of Trustees to: '�eeoc,s�cucA.CN we%a� �,dE c �x���•Y,� ��a.�l ,a� d� _ �set:��C� ISv �'� bY1C• 7czU}\rl i llrn\Y, -she RCoY\�\c3u�`f\�l �- t-OG �,CtC'L1Ye_f1 w ��1 �tc�t]� \Ot�c�� coL4C5 Y�612cS eCCS" %\cue. — c�lr:ch a 6ftIO� CA- �V 1oCc��.�r� re-Vo,.«r C." C, . b\oC \C- w-1_V Cor,C. L-x..tk" �^ `�RQCU.'�`b�cv���•� �ocx�l:Se 2 . That the property which is the subject of Environmental Review- is located adjacent to your property and is described as follows : Vicul� �ia�Sa� s�c�•r�ssCs c cS �•r o a o S 3 . That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on: You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal . OWNERS NAME :Vu,kLl', MAILING ADDRESS • (� �,p c�o`P�� C_:ccl� C,T bCago JAN - 2 PHONE #: Enc . : Copy of sketch or plan showing proposal for you-r---- convenience. 95.19.3 (a100)pip JOINT APPLICAT J `ew York State FOR PERMIT " " United States Army Corps of Engineers Applicable to agendas and permit categories listed in Item 1. Phase read all instructions on back. Attach additional information as needed. Please print legibly or type I.Check permits applied for. :Mc of Appllcan a full name) Telephone Number (daytime) NYS Dept of Environmental Conservation 0-?o ❑ Stream Disturbance(Bed and Banks) Mailing Add ss ❑ Navigable Waters(Excavation and FIII) ❑ Docks,Moorings or Platforms P st Office State Zip Code (Construct or Place) OLP u ❑ Dams and Impoundment Structures 3.Taxpayer ID (if applicant Is not an Individual) (Construct,Reconstruct or Repair) ❑ Freshwater Wetlands ❑ Tidal Wetlands 4.A pilcant Is alan: (check as many as apply). j ❑ Coastal Erosion Control ROwner [-]Operator ❑Lessee ❑Municipality/Governmental Agency j ❑ Wild.Scenic and Recreational Rivers 5.If applicant is not the owner,identlfy owner here- otherw4e, you may provide Agent/Contact Person information ❑ 401 Water QualityCerification nor orA enUContaetPerson ❑Owner Agent/Co.tact Person Telephone Number ea time, ' ❑ Potable Water SupplyI LW _ I� ❑ Long Island Wells Address ❑ Aquatic Vegetation Control MT6 -T�Oyl Q I ❑ Pos Office;•. r,. Stat ZIP Code �(}Aquatic Insect Control Y ❑ Fish Control 6.Project!Facility Location (mark location on map, see instruction 1a.) NYS Office of General Services County: Town/CltyNlllage: Tax Map Section/Block /Lot Number: (State Owned Lands Under Water) I V\ ' 1 _ ❑ Lease,License,Easement or Location (including Streej or Road Telephone Number (daytime) other Real Property Interest I I ❑ Utility Easement(pipelines,conduits, ` cables, etc.) tpost OM s State ZI Cod 7.Name of Stream or Waterbody (on or near project site; ❑ Docks,Moorings or Platforms `O N 1p 1�3� O (Construct or Place) 9,-Name of LISGS Quad Map: Location Coordinates: Adirondack Park Agency t II__a� 7' ❑ Freshwater Wetlands Permit 141 C � �lY �7ZO �-'✓ � NYTM-E NYTM-N 4 ❑ Wild,Scenic and Recreational Rivers 9.Project Description and Purpose:(Category of Activity e.g.new constructiordinstatlation,maintenance or replacement; Type of Structure or Activity e.g.bulkhead,dredging,filling,dam,dock,taking of water, Type of Materials Aa�Quanl:J Structure and Work Area Dimensions;Need or Purpose Served) Lake George Park Commission ❑ Docks(Construct or Place) ❑ Moorings(Establish) T-T_by ly--I t p-eJ(� �l�--�1�G��.`"e. �00 41(1 US Army Corps of Engineers `�YII�G_�hYeq W.l .�`l I k1/.CkW1.A*0 _'-lreCDYI R9 Lkyty q. .fk yoc'L ❑ Section 404(Waters of the United States) 1,f ^ �� ❑ Section 10(Rivers and Harbors Act) 1Q�5�!l 1{l___��_lJ!__ �I-�� __rlJ�l��--t-►llJ� _T10- ._�y.t(. .eas; . Str4 ❑ Nationwide Permit(s) j Identify Number(s) (��r__C6ir�Yt° _�� _.V V-wl!_}__ 1!17..J� _Y�ll�!I I-I o-q. .a ld. . . . For Agency Use Orly.DEC APPLICATION NUMBER re s US ARMY CORPS OF ENGINEERS ropos se: 11.WIII Project Fit; py 12,Proposed Start 13. Estimated Completion ❑ ❑ State Land? ❑ Date: Date: tyv to Public'Commercial a No 14.Has Work Begun on Project? (If yes, attach ❑ 10115.List Previous Permit I Application Numbers and Dates: (if Any) explanation of why work was started without permit) Yes No 16. WIII this Project Require Additional If Yes, Federal, State,or Local Permits? es No Please List"' Aco T6w{� 17. If applicant Is not the owner,both must sign the application I hereby affirm that information provided on this form and all attachments submitted herewith is We to the best of my knowledge and belief. False statements maoe nere,n are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further,the applicant accepts full responsibility for all damage,direct or indirect, of whatever nature,and by whomever suffered,arising out of the project described herein and agrees to Indemnity and save harmless the State from suits,actions, damages and costs of every'name and description resulting from aid project. In Federal aw,18 U.S.C.,Section 1001 provides for a fine of not more Inan $10,000 or imprisonment for not more than 5 years,or both er an applic y and g Isifies,conceals,or covers up a material fact:or knowingly mares Of uses a fat e,fic' 'ous or fraudulent statement. Date Signature of Applicant Title Date Signature of Owner Title • 14-1s4(12/97)—� PROJECT ID NUMBER 617.20 SEOR •APPENDIX C STATE ENVIRONMENTAL OUALTIY.REVIEW • ..SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1—PROJECT INFORMATION (To bt3'conipleted by Applicant or Project Sponsor) 1.�PUCANT/SpoqSqFl e 2. PROJECT NAME Y 3. PROJECT LOCATION: cb Municipality C Coun 4. PRECISE LOCATION:(Street address and d ntenections,prominent landmarks,stc:,or provide map) I I! Zo Main Ras+ DVlanw NY 1113q �i-�° � ' �-(9'' - Wo zo l 51I 5. IS PROPOSED ACTION: O New ❑ Expansion Modification/alteration ti DESCRIBE PROJECT BRIEFLY. -- See Affacked - 7. AMOUNT OF LAND AFFECTED: initially aeru Ultimately acres a. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? `f Yes ❑ No H no,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? �(Residential ❑ Industrial O Commsrclal` 0 Agriculture O Park/Fo WOpen Space, O Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL.OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(Federal,State or \Locjpl)? Yes ❑ No If yes,Ust agency(s)and pennWapprovals . •��, �1YSDaS, N YS��,Twn:•o-� ��n•�to�q� 11. DOES ANY ASP CT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? ❑ Yes TN0 If yes,list agency name and psmlWapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL❑ Yes o REQUIRE MODIFICATION? N ' I CERTIFY THAT THE INFORMATICIp PROVIDED ABO J IS T TO THE BEST OF MY KNOWLEDGE ApplicanVSponsor me RU Date Z L�L2— Signature If the action Is In the Coastal Area, and you are a state agency, ' complete the Coastal Assessment Form before proceeding with this assessment OVER PART 11—ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD Y R P 17.4 0 Yes 0 No It yea coordinate the retdew atoce!2 and use the FULL EAF B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR PART 617.67 0 Yes 0 No If no a negative declaration may superseded 04 another Involved acency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING;(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater qualRy'or quantity,roles levsls,existing traffic patterns,solid waste production or disposal;potential for erosion, drainage or flooding probiems7 Explain briefly; C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife ipecies,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,cr related activities likely to be Induced by the proposed action?Explain briefly; C6. Long term,short term,cumulative,or other effects not Identified In C1457 Explain bristly, C7. Other impacts(including changes In use of either quantity or type of energy)?Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARA ❑ Yes ❑ No CTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? � E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No If yes,explain briefly PART Il—DETERMINATION OF SIGNIFICANCE (TO be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above,determine whether It is substantial, large, Important or otherwise significant. Each effect should be assessed in connection with its(a)setting(I.e.,urban or rural),(b)probability of occurring;(c)duration;(d)Irreversibility;(e) geographic scope: and(r)magnitude.If necessary,add attachment'or referarloa supporting matarials,Ensure Owl explanations contain sufficient detail to show that all relevant adverse impacts have been Identified and adequately addressed.If question D of Part II was chocked yes,the determination and sig• nificance must evaluate the potential kPilla of ON proposed actor On the environmental characteristics of the CEA. 0 Check this box if you have identified one or more potentially large and significant adverse impacts which may occur. Then proceed directly to the FULL EAF and/or prepare a positive t�eclaration. O Check this box if you have determined,based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental Impacts AND provide on attachments as necessary, the reasons supporting this determination; Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency, Ttie of Responsible Officer ' i Signature of Responsible Officer in Lead Agency. Signature of Preparer(If different from responsible ofli sr) Qate VICKY PAPSON 63 REVONAH CIRCLE STAMFORD CT 06905 203 325 4454 September 30, 2002 JOHN COSTELLO COSTELLO MARINE CONTRACTING CORP 423 FIFTH STREET GREENPORT NY 11944 DEAR JOHN, AS WE DISCUSSED, IAM0Y'u'WY°u+0 oblh THE PERMITS REQUIRED 11120 MAIN RD EAST MARION, NY. THE PERMITS ARE FOR CREATING A NEW BEACH FRONT OF 80 FEET AND TO WORK ALONG WITH A MASON TO REBUILD MY SEA WALL AND UPPER RETAINER WALL. r 1 0 LOOKING FORWARD TO A SUCCESSFUL OUTCOME BY SPRING 2003. SINCERELY, VICKY PAPSON -' � ,�,.�_ •fir: '�' a ,j, r;�, 'r� I � ``• r� t� t ZMIMG AM tOAi OF SO 911D EEI USIA'9 �--- Notice of Hearing �....._. _.___..__. • • T tYklirINYM1,YYRd. �. Yn.'.r•- E-!1 OWNERRT OF REC010 . ILLNE 0t AROl1;An0Y tEEEt ^el"At". _ LT of NEARAIG aEiE i OATE NEARING , mr.aasv,.n rae mn..r e,w a4 �" NNd Yam Yn.•rrrn ars a,a NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall,53095 Main Road, Southold,New York,concerning this Property. OWNER(S)OF RECORD: 04y y B�1 1ECT jJF PU LI EA TIME&DAT OF PUBLIC HEARIN II you have an interest in this project,you are invited to view the Town file(s) which are available for inspacflon prior to the day of the hearing during normnl n bunio ,cans 6 rwcen the hour,of 8 n in and A P.M. BOARD OF TRUSTEES'TOWN OF SOUTHOLD'(631)765-1892 Y Vicky Papson 1 1303 7001 0 0001 0522 0973 T— -- n; o^f -' m.M m '04 m; W�• �I o m e `s0 min =" k�jh N 3a 33 N; Z " �, p � oa to m -AZOF OF MAILING OF +` --- ATTACH. CERTIFIED. MAI m° °" m" N U-S,'P6Stai Service QV9` e� N am gN W CERT1,01ED MAIL RECEIPT Addr V.Ln N f 5 ru rru Postage M$ • (� �J's O j c� . Lrl 1-3 Certified fee , n rq Return Receipt Fee S Cyst ark s �1 p �;�i d� ° J Q (Endorsement Required) 7. y Q Restricted Delivery Fee (Endorsement Required) �� '� Ln Q Total (OdN � Lrn a&Fees ru . �1 ru - r-1 Street pt.No.; ,�1--- ---------------- C6�/ Certified Fee Q or PO Box No. - '''7 Q / } M1 Clty,State,ZIP+ PoHere'k --� r-q Return Receipt Fee t.._. Z Here' • •'r QQ (Endorsement Required) � L7 i r r U LJ Restricted Delivery Fee JC • Q (Endorsement Required) Q Total Postage&Fees r$ , Q r s,7__�_ T - -- ar ra Street,Apt.No.; (���g- r✓vt p or PO Box Nb. STATE OF NEW YORK o ---------- - - ----- r'7c-- = -•-j----••----•--•----- COUNTY OF SUFFOLK r` city,s 4.^ -- - _ I- G��fin ) [5b , residing at �n �>7es�e� �rnd � 4,01V IVY /178, , being duly sworn, deposes and says that on/ the �,� day of D_o&_yw�_, aaDa, deponent mailed a true copy of the Notice set forth in the Board of . Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at lq* (Dote uw:r , that said Notices were mailed to each of said persbns by (certified) (registered) mail . All Sworn before me this 30 day of , ififa dw,'/a_- REJBECCA A.VILARUI Notary Public NOTARY PUBLIC,STATE OF NEW YORK QUALIFIED IN SUFFOLK COUNT`( NO-01 WO6039106 COMMISSION EXPIRES MARCH 27,�� RIVET "`"wa"i/vu� Ot 1 7',(��// AND CROURS E Jl M0.LY � gOU1DLAS T HOLL UPPER 6 dLUESTONE EDC POM II PATH 3*MrH f SOIL,PLANTINGS/GRASS STQa- Q_ NTO P OL ALL PROPOSED EXTENDED BEYOYD LINE"•::f�irNCTT ON�rrTo Pool 10 LAWN _ STONE STEPS OF_ESFlNb WAIL_.. 7�C6' 'AE PROPOSED GATE. TIRE c t :F, TRANSPLANTED-' ELF CLCSING TO BFACN HOUSE . fut HOLLY D LATCHING �PLANTIMG ' P _ PLANTING:• G POOL .�.�--- - -... ' EX 3'WALL GRAVEL K CY REPAIR EXISTIN3 f `__�__ _ '_ 0'�13 STEPPING PLANTING OLD E WALL BEHIND PLANTING' _ TONE PATEN _i- SCUiI BEACH HOUSE b U' -i AS NECESSARY Lf•Y Q ���� .�.U) PLANTING - p 4-"'- TING �'- APPROX.EDGE OF p BO11lDER RAVEL g'� -fit- GARDINER'S BA p N BEACH �MQ�PLANTM STONE STEPS m , HOUSE OQ� �JJ�v -�� DO N to BEACH p PLACE ROCKS k'f HERE D BY E; A D OF t"15TEES 11203 3 PEGOLA P b ATFO ON SEAL-2 l r 3 STRAJR�OV�LGHT$TEOFARS DOIMI TO 6EK144.GRANIrEMO R7ARQD CURES OF BEA[71 WALL J o h• C o" -,rr e PA iG 6.RN10.EO tRRfG SLUESTOME MOtfNp POOL 1 OUWALL S TDOOR L O 13 BREV�SMSFAPEOFPOOXPAVNG T Landsca a Associates Ltd, A Design= BUild ---�- CM A-S.LA. `A 44 Tynda0 Raad,Sag Harbor,N.Y. 1 -TeyFax . 1 (63{J 725 3410 O -- -----,---- -- ----- ------- ------------------------------- LCr IL . j -. _ :, APR 28 2003 09 : 30 FR WELLS FARGO MORTGAGE03 845 2347 TO 16317651366 P . 02 Vicky Papson 63 Revonah Circle Stamford CT 06905 203 253 1382 t April 28, 2003 Albert J Krupski Re: SCTM 31-13-7 President Vicky Papson Board of Town Trustees 11120 Main Rd Southold NY 11971 East Marion NY 11939 Dear Mr. Krupski, Thank you very much for taking your Saturday morning to meet with me. As you requested, I am faxing my minor revisions for the upper level retaining wall. The landscape architect felt that the existing damaged wall needs further reinforcement by creating some contour with earth between the old and new walls. This is a minor change from the original submission and permit. I would appreciate having a timely response since my construction crew has started the beach front project. Sincerely, Vicky Papson Cc: Costello Marine Contracting Corp APR 28 2003 09 : 31 FR WELLS FARGO MORTGRGE03 e45 2347 TO 16317651366 P . 03 Albert J.Krupski,President Town Hall James sing,Vice-President ��$QEfO��►CO 63095 Route 25 Artie Foster �O P.O.Box 1179 Ken Poliwoda ~ Southold, New York 11971-0959 Peggy A.Dickerson : Telephone(681) 765-1892 Fax(601)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD'°•' January 27, 2003 Costello Marine'Contracting Corp:. ' PO Box 2124 Greenport,NY 11944 - ' RE: SCTM#31-13-7. Vicky Papson 11120 Main Road East Marion,NY Dear Mr. Costello.- The Board of Town Trustees took the following'action during a Regular Meeting, held on January 22, 2003 regarding the above matter. WHEREAS, Costello Marine Contracting Corp. on behalf of Kcky Papson applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated January 2;2003. WHEREAS, said application was referred to the,Southold Town Conservation Advisory Council for their findings and recommendations; and WHEREAS, a public Hearing was held by the Town Trustees with respect to said application on January 22,2003 at which time all interested persons were given an opportunity to be beard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code. APR 28 2003 09 : 31 FR WELLS FARGO MORTGRGE03 845 2347 TO 16317651366 P . 04 2 WHEREAS, the Board has determined that the project as proposed will not affect the health, Safety and general*elfare of the people of the town. NOW THEREFORE BE 1T, RESOLVED,that the Board of Trustees approved the application of KcAy Papson for the Wetland Permit to reconstruct rock revetment on west side of existing stairway by breaking up existing concrete footing, lining the area with filter cloth and reconfigure the rock revetment with additional rocks moved from the east side which creates a beach at that location. Repair the concrete block wall, concrete walkway and Concrete bulkhead reconstruct boat house and replace concrete steps (to be wider 2 feet to the west).with the condition that the boat house remain the same size t • BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency,which may also have-an application pending for the same or similar project. Fee must be paid,if applicable and permit issued within six months of the date of this notification. If inspections are required, at a fee of$5.00 per inspection(See attached schedule). FEES: $5.00 Very truly yours, Albert J. Krupski, Jr, President,Board of Trustees AJK/cj c cc DEC * TOTAL PRGE . 04 APR 28 2003 09 : 30 FR WELLS FARGO MORTGAGE03 845 2347 TO 16317651366 P . 01 I`YI x FACSIMILE TRANSMITTAL S E TO OM: FAX NUMBER DATE: PHONE NUMBER: TOTAL NO. OF PAGES INCLUDING COVERS IRGENT D FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY❑PLEASE 1tECYCLE t, ' V 1:/ E � D APR 2 8 2003 Southold Town Board of Trustees 365 WESTPORT AVENUE NORWALK, CT. 06851 203-949-3540 203-845-2347 FAX LONG /BLAND SOUND DAM NY5 POND 1 O 0 fo 1 � � O P 6 A \ LOCATION ON 2 aP MAR/oN ` LAKE r PROJECT O vP` L LOCATION V VIGINI -TY MAP 0 O 1 z 5 4000 FT. ADJACENT pROPERT`( OWNERS'- - LOCATION M A P �I ARTEMIN05 T515MENAKI5 1701 EAST 22No 5T. O Goo, 6ROOKLYN, NY 11229 ( I 1230 MAIN ROAD O2 ROP5ERT & RUTH UNGERLEIDER O3 ELIZA6E7H 51.15AN CLICK °D JONE5 ST I4o55 TRUMAN'5 PATH NEW YORK NY 10014 P.O. bOX 153 ( 11292 MAIN ROAD) EA5T MARINN, NY 11939 PROP05ED , RECONSTRUCTING ROCK REVETMENT ON WE57 51DE OF EXISTING 57rAIRWAY P.JY 132EAKING UP EXIST. CONC. FOOTING, LiwiNG"THEAREA WITH FILTER CLOTH AND RECONFIGURING THE: ROCK PLACEMENT WITH ADDITIONAL ROGK5 MOVED FROM THE EAST SIDE WHICH CREA-rF-5 A 5EACH AT THAT LOCATION REPAIRING GONG. 6LOCK WALL, CONC. WALKWAY AND CONC. BULKHEAD. RE.CON5TRUCTING 60ATH01.U5E AND REPLACING CONC. 5TE P5 C TO 6E W I DER 2�TO WEST). AGGB55: E5Y 5EAj U51NG G F_RAN /5AR(5E - APPLICANT " VICKY PAPSON G3 RENOVAH CIRCLE 57AM FORD, CT 0&005 t; I 1120 MAI N RD., E. MAR I ON, NY) PREPARED BY: 5-C.T.M. 1000-31-13-7 C05TF-LLO MARINE CONTRACTING CORP. DEG, 71 200Z P.O. 13OX 2124 GREENPORT, NY 11944 (Co31) 477-1199 SHEET I OF 3 2 SITE O 0 2o0 A h QP r� i / of j0 r v /♦ Sy�o /� s vP o�`off O�Q�� 40 p� � 'q,Pe �pR DS~E APPLICANT, v� RopOsF�O GOP G3 R N VAHPAPSOGIRCLE ARK 5TAMFORD/ GT OCo905 PREPARED e)Y' ( 11120 MA N .RD.l E.MARION�NY) C057ELLO MARINE CONTRACTING CORP. DEG. 7 SOOZ PO. 60X 2124 GREENPORT, NY 11544 (co 31) 477- I I cD SHEET 2 OF 3 • � ti ,PC 4 P, 0J r v � Gov slip P P u •c�4 out A. P �'0-60c� X �0 O �P CG moo �Q Av�`� AN* 0^O S Jp0 r� F' 414 L A N 0 501 APPLI CANT V I CKY PAP50N Cob RENOVAH CIRCLE STAMFORD, CT OCo905 PREPARED 6Y ( 11120 MAIN RD./ E. MARION� NY) C05TELLO MARINE CONTRACTING CORP. PEC.7, 2002 PO. 15OX 2124 GREENPORT1 NY IIIJ44- Clobl) 477.- 1199 SHEET 3 OF 3